Bipolar Disorder Clinical Trial
Official title:
Early Integrated Intervention in Severe Affective Disorders - a Randomized Controlled Trial.
The purpose of this study is to determine whether early integrated prophylactic combined medical and psychological outpatient treatment is associated with a better prognosis in patients with severe unipolar and bipolar affective disorders than standard treatment.
Patients who have been hospitalised for unipolar or bipolar disorder have a poor prognosis
with highly increased risk of recurrence of episodes and increased risk of psychosocial
dysfunction. It seems as integrated prophylactic combined medical and psychological
out-patient treatment may lead to a better long-term prognosis in patients with affective
disorders in general. It has not been specifically investigated whether such integrated
treatment may improve long-term outcome if the intervention is offered early in the course
of the affective illness.
Subjects: Patients currently discharged from first, second or third hospitalisation ever
from psychiatric department with a diagnosis of severe single depressive episode/recurrent
depression or with a diagnosis of manic/mixed episode or bipolar disorder.
Comparison: Early intervention with integrated prophylactic combined medical and
psychological outpatient treatment as offered by a clinic for affective disorders compared
with standard outpatient treatment as offered by community psychiatric centres, private
specialists in psychiatry or general practitioners.
;
Allocation: Randomized, Endpoint Classification: Efficacy Study, Intervention Model: Parallel Assignment, Masking: Open Label, Primary Purpose: Treatment
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